Organization
PACIFIC WELLNESS AND SPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD D CORLEY DC (CHIROPRACTOR)
(253) 564-8100
Entity
Organization
Contact information
Practice address
4114 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466
(253) 564-8100
(253) 564-8387
Mailing address
4114 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466
(253) 564-8100
(253) 564-8387
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CO5411
WA
Other
Enumeration date
06/27/2007
Last updated
02/01/2008
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